Community Health Clinic Of Northeast Texas in Tyler - Federally Qualified Health Center (fqhc)
Community Health Clinic Of Northeast Texas - NPI 1265613285
Community Health Clinic Of Northeast Texas is a Federally Qualified Health Center (fqhc) in Tyler, Texas. Community Health Clinic Of Northeast Texas practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Clinic Of Northeast Texas is 1265613285. The last update date is 2007-11-19.
Community Health Clinic Of Northeast Texas's current location address is 815 N Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035350023 and fax number 9035350052. The mailing address for Community Health Clinic Of Northeast Texas is 815 N Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Health Clinic Of Northeast Texas |
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Address | 815 N Broadway Ave, Tyler, Texas |
Phone Number | 9035350023 |
Fax Number | 9035350052 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Davis Judy |
Credentials | MBA,MHA |
Telephone Number | 9035337404 |
NPI Number Detail
NPI Number | 1265613285 |
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Provider Enumeration Date | 2007-11-19 |
Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
Address | 815 N Broadway Ave |
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City | Tyler |
State | Texas (TX) |
Post Code | 757024507 |
Phone Number | 9035350023 |
Fax Number | 9035350052 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique 10-digit identifier code assigned to Community Health Clinic Of Northeast Texas by the Centers for Medicare & Medicaid Services?
The Community Health Clinic Of Northeast Texas has been issued the NPI (National Provider Identifier) 1265613285 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Community Health Clinic Of Northeast Texas's physical address?
The Community Health Clinic Of Northeast Texas is physically located at 815 N Broadway Ave, in the city of Tyler, TX, with the postal code 757024507.
What is the Community Health Clinic Of Northeast Texas's specialty and taxonomy code?
The Community Health Clinic Of Northeast Texas's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
When did Community Health Clinic Of Northeast Texas receive its 1265613285 assignment?
The Community Health Clinic Of Northeast Texas was assigned its 1265613285 on 2007-11-19, which is the date when this unique identifier was issued to the organization.
When was the Community Health Clinic Of Northeast Texas's information last updated?
The Community Health Clinic Of Northeast Texas's information was last updated on 2007-11-19.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC